基于移动应用程序的院外健康管理干预对冠心病患者身心健康和生活质量影响的Meta分析  

Effect of out-of-hospital health management intervention based on mobile application on the physical and mental health and quality of life in patients with coronary heart disease:a Meta analysis

作　　者：王思佳 杜昀 白雪 王玉萍 郭玉芳 WANG Si-jia;DU Yun;BAI Xue;WANG Yu-ping;GUYur-fang(School of Nursing and Rehabililation,Shandong Unirersity,Jinan 250012,China)

机构地区：[1]山东大学护理与康复学院,山东济南250012 [2]山东第一医科大学附属省立医院重症医学科,山东济南250021 [3]山东第一医科大学附属省立医院东院区重症医学科,山东济南250013

出　　处：《中国健康教育》2025年第3期212-221,共10页Chinese Journal of Health Education

基　　金：山东省社会科学规划研究项目(23CSHJ13)。

摘　　要：目的系统评价基于移动应用程序的院外健康管理干预对冠心病患者身心健康和生活质量的作用效果。方法采用主题词联合自由词的方式,检索PubMed、Cochrane Library、中国知网、万方数据库等多个数据库自建库至2023年8月的相关文献。收集基于移动应用程序的院外健康管理干预方案对冠心病患者身心健康和生活质量影响的随机对照试验(RCTs),采用R4.3.1软件进行数据分析。结果共纳入15项研究,包括3351例患者。Meta分析结果显示,干预后,在身体健康方面,干预组心血管风险因素中的低密度脂蛋白胆固醇(MD=-0.16,95%CI:-0.24~-0.08)、甘油三酯(MD=-0.12,95%CI:-0.20~-0.03)、总胆固醇(MD=-0.16,95%CI:-0.30~-0.02)和心率(MD=-1.84,95%CI:-3.35~-0.34)显著低于对照组(P<0.05);干预组运动能力(SMD=0.29,95%CI:0.14~0.43)和体力活动(SMD=0.23,95%CI:0.05~0.41)均显著优于对照组(P<0.05)。两组其他心血管风险因素(体重指数、血压、吸烟率等)、心理健康和生活质量等指标差异无统计学意义。结论基于移动应用程序的院外健康管理对冠心病患者的身体健康具有积极影响,但对心理健康和生活质量作用不显著。建议开发可有效改善心理健康和生活质量的移动应用,以进一步提高冠心病患者身心健康。Objective To evaluate the effect of out-of-hospital health management intervention based on mobile application on the physical and mental health and quality of life of patients with coronary heart disease(CHD).Methods Relevant documents were collected from PubMed,Cochrane Library,CNKI,Wan fang and other databases from establishment to August 2023 were searched by using subject terms combined with free terms.Randomized controlled trails(RCTs)of the effect of out-of-hospital health management based on mobile application on the physical and mental health and quality of life of patients with coronary artery disease were collected and data were analyzed using R 4.3.1.Results A total of 15 RCTs involving3351 patients were included.Meta-analysis indicated that after the intervention,in terms of physical health,cardiovascular risk factors such as LDL cholesterol(MD=-0.16,95%CI:-0.24--0.08),triglycerides(MD=-0.12,95%CI:-0.20--0.03),total cholesterol(MD=-0.16,95%CI:-0.30--0.02)and heart rate(MD=-1.84,95%CI:-3.35--0.34)were significantly lower in the intervention group than in the control group(P<0.05);exercise capacity(SMD=0.29,95%CI:0.14-0.43)and physical activity(SMD=0.23,95%CI:0.05-0.41)in the intervention group were significantly better than in the control group(P<0.05).There were no statistically significant differences in other cardiovascular risk factors(body mass index,blood pressure,smoking prevalence,etc.),mental health and quality of life between the two groups.Conclusion Out-of-hospital health management based on mobile application has a positive impact on the physical health of patients with coronary artery disease,but has an insignificant effect on mental health and quality of life.It is recommended that mobile applications that can effectively improve mental health and quality of life be developed to further improve the physical and mental health of patients with coronary heart disease.

关 键 词：冠心病 移动应用程序 院外健康管理 身心健康 META分析 

分 类 号：R193[医药卫生—卫生事业管理] R4[医药卫生—公共卫生与预防医学] R47